Active NPI
Beatrice Adhiambo Odeny
- Social Worker
- Ceres, CA
National Provider Identifier
1699588160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114306
- Practice address
- 2528 Leslie LN
Ceres, CA 95307-2326 - Phone
- (209) 531-7331
- NPI assigned
- Jan 29, 2025
- Last updated
- Mar 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 114306 | CA | Primary |
Addresses
Primary practice location
2528 Leslie LN
Ceres, CA 95307-2326
Mailing address
1000 Brighton Ave Apt 10
Modesto, CA 95355-4231
Other practice location 1
3212 Uranus Dr
Ceres, CA 95307-3010
Phone (209) 538-4038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114306 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Family Systems | Current | Accepting new patients | |
| Elite Family Systems | Past | Accepting new patients | |
| Elite Family Systems | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Ceres, CA
- NPI 1285214759
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Ceres, CA
- NPI 1346820818
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Ceres, CA
- NPI 1467032938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1699588160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BRIGHTON AVE APT 10",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 LESLIE LN",
"city": "CERES",
"state": "CA",
"postal_code": "953072326",
"telephone_number": "209-531-7331"
}
],
"practiceLocations": [
{
"address_1": "3212 Uranus Dr",
"address_purpose": "LOCATION",
"city": "Ceres",
"state": "CA",
"postal_code": "953073010",
"country_code": "US",
"telephone_number": "209-538-4038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODENY",
"first_name": "BEATRICE",
"middle_name": "ADHIAMBO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-29",
"last_updated": "2025-03-07",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "114306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.